Individual provider · Type 1 NPI

Cathleen Jackson, CASAC, ICADC

Addiction (Substance Use Disorder) Counselor · Rochester, NY

NPI number 1669703450 Active

Practice location

490 E Ridge Rd
Rochester, NY 14621-1229

Call (585) 922-2588 Map

Mailing address

4557 Lincoln Rd
Macedon, NY 14502-9314

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16639 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669703450

Cathleen Jackson, CASAC, ICADC's National Provider Identifier is 1669703450, issued on Jan 19, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on Sep 16, 2011.